Immediate Implant With Provisionalization

Primary Versus Secondary Implant Stability in Relation to Gap Distance of Immediate Implant With Immediate Loading by Provisional Restoration

Prospective observational clinical study conducted to evaluate the success of graftless immediate implantation with provisionalizaion

In this study 35 graftless immediately placed implant in smile line loaded by provisional office made restoration, the primary and secondary stability measured and compared in addition to evaluation of pink esthetic score

Inclusion Criteria:

1. Medical and psychological fitness for minor oral surgery.
2. Age 20-60 years.
3. medium to thick gingival biotype.
4. buccal plate thickness more than (1mm).

Exclusion Criteria:

1. Smoking habit.
2. Diabetes mellitus.
3. A systemic disorder that is contraindicated for the minor surgical procedure.
4. Pregnancy or lactation.
5. Any irradiation in head and neck area.
6. Need for bone augmentation procedure.
7. Clinical signs of bruxism or other severe functional disorders.
8. patient with periodontal disease.